Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 019645 | NY |
NPI | 1114207396 |
---|---|
Provider Name | Ms. Stephanie Lynn Singh |
First Address | North Tonawanda, NY 14120-9618 |
Second Address | North Tonawanda, NY 14120-9618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2011 |
Last Update Date | 02/10/2019 |